MATERNITY AND PEDIATRIC NURSING
EXAM WITH WELL-VERIFIED QUESTIONS
AND ANSWERS|| ALREADY GRADED A+||
LATEST UPDATE 2026
Part 1: Maternity Nursing
Section A: Antepartum (Pregnancy)
1. Q: What is the purpose of the GTPAL system?
A: It's a standardized method to summarize a woman's obstetric history:
Gravida (total pregnancies), Term births, Preterm births, Abortions
(spontaneous or therapeutic), and Living children.
2. Q: What is Naegele's rule?
A: A method to estimate the Estimated Due Date (EDD). Take the first
day of the Last Menstrual Period (LMP), subtract 3 months, and add 7
days and 1 year.
3. Q: What is a primigravida?
A: A woman who is pregnant for the first time.
4. Q: What is a nullipara?
A: A woman who has never completed a pregnancy beyond 20 weeks
gestation.
5. Q: What are the three trimesters of pregnancy, and what are their
timeframes?
A: First trimester (weeks 1-13), Second trimester (weeks 14-27), and
Third trimester (weeks 28-birth).
6. Q: What is presumptive evidence of pregnancy?
A: Subjective signs the woman experiences, like amenorrhea,
nausea/vomiting, breast tenderness, and fatigue.
7. Q: What is probable evidence of pregnancy?
A: Objective signs observed by the examiner, such as Hegar's sign,
Chadwick's sign, Goodell's sign, and a positive pregnancy test.
,8. Q: What is positive evidence of pregnancy?
A: Definitive signs that can only be attributed to a fetus, including fetal
heart tones, visualization of the fetus via ultrasound, and fetal movement
felt by the examiner.
9. Q: What is Chadwick's sign?
A: A bluish-purple discoloration of the cervix, vagina, and vulva due to
increased vascularity.
10.Q: What is Hegar's sign?
A: A softening of the lower uterine segment, detectable on bimanual
exam.
11.Q: What is Goodell's sign?
A: A softening of the cervical tip.
12.Q: What is the recommended weight gain for a woman with a normal
BMI during pregnancy?
A: 25 to 35 pounds (11.5 to 16 kg).
13.Q: Why is folic acid important during pregnancy, and what is the
recommended dose?
A: It helps prevent neural tube defects. The recommended dose is 400-
800 mcg daily, starting before conception.
14.Q: What is the purpose of the alpha-fetoprotein (AFP) test?
A: It screens for neural tube defects (like spina bifida) and chromosomal
abnormalities (like Down syndrome).
15.Q: What is a non-stress test (NST)?
A: A non-invasive test that monitors the fetal heart rate in response to
fetal movement. A reactive NST is a sign of fetal well-being.
16.Q: What is a contraction stress test (CST) or Oxytocin Challenge
Test (OCT)?
A: A test that evaluates the fetal heart rate response to uterine
contractions. A negative CST is a good sign.
17.Q: What is a biophysical profile (BPP)?
A: A test that combines an NST with an ultrasound to assess five fetal
biophysical variables: breathing movements, body movements, muscle
tone, amniotic fluid volume, and heart rate reactivity.
, 18.Q: What is the danger of a pregnant woman contracting rubella?
A: It can cause congenital rubella syndrome, leading to severe birth
defects like deafness, cataracts, and heart defects.
19.Q: What is supine hypotensive syndrome?
A: When a pregnant woman lies on her back, the weight of the uterus
compresses the inferior vena cava, decreasing venous return and causing
hypotension, dizziness, and fetal distress.
20.Q: What is the nursing intervention for supine hypotensive
syndrome?
A: Turn the woman onto her left side to relieve pressure on the vena
cava.
21.Q: What are Braxton Hicks contractions?
A: Irregular, painless, and ineffective uterine contractions that can occur
throughout pregnancy.
22.Q: What is the difference between morning sickness and
Hyperemesis Gravidarum?
A: Hyperemesis Gravidarum is severe, persistent nausea and vomiting
during pregnancy that leads to dehydration, weight loss, and electrolyte
imbalances.
23.Q: What is a miscarriage?
A: The spontaneous loss of a pregnancy before 20 weeks gestation.
24.Q: What is an ectopic pregnancy?
A: A pregnancy that implants outside the uterine cavity, most commonly
in a fallopian tube.
25.Q: What are the classic signs of an ectopic pregnancy?
A: Unilateral lower abdominal pain, delayed menses, and vaginal
bleeding.
26.Q: What is placenta previa?
A: A condition where the placenta implants in the lower uterine segment,
partially or completely covering the cervical os.
27.Q: What is the classic sign of placenta previa?
A: Painless, bright red vaginal bleeding in the second or third trimester.
28.Q: What is abruptio placentae?
A: The premature separation of a normally implanted placenta from the
uterine wall after 20 weeks gestation.
EXAM WITH WELL-VERIFIED QUESTIONS
AND ANSWERS|| ALREADY GRADED A+||
LATEST UPDATE 2026
Part 1: Maternity Nursing
Section A: Antepartum (Pregnancy)
1. Q: What is the purpose of the GTPAL system?
A: It's a standardized method to summarize a woman's obstetric history:
Gravida (total pregnancies), Term births, Preterm births, Abortions
(spontaneous or therapeutic), and Living children.
2. Q: What is Naegele's rule?
A: A method to estimate the Estimated Due Date (EDD). Take the first
day of the Last Menstrual Period (LMP), subtract 3 months, and add 7
days and 1 year.
3. Q: What is a primigravida?
A: A woman who is pregnant for the first time.
4. Q: What is a nullipara?
A: A woman who has never completed a pregnancy beyond 20 weeks
gestation.
5. Q: What are the three trimesters of pregnancy, and what are their
timeframes?
A: First trimester (weeks 1-13), Second trimester (weeks 14-27), and
Third trimester (weeks 28-birth).
6. Q: What is presumptive evidence of pregnancy?
A: Subjective signs the woman experiences, like amenorrhea,
nausea/vomiting, breast tenderness, and fatigue.
7. Q: What is probable evidence of pregnancy?
A: Objective signs observed by the examiner, such as Hegar's sign,
Chadwick's sign, Goodell's sign, and a positive pregnancy test.
,8. Q: What is positive evidence of pregnancy?
A: Definitive signs that can only be attributed to a fetus, including fetal
heart tones, visualization of the fetus via ultrasound, and fetal movement
felt by the examiner.
9. Q: What is Chadwick's sign?
A: A bluish-purple discoloration of the cervix, vagina, and vulva due to
increased vascularity.
10.Q: What is Hegar's sign?
A: A softening of the lower uterine segment, detectable on bimanual
exam.
11.Q: What is Goodell's sign?
A: A softening of the cervical tip.
12.Q: What is the recommended weight gain for a woman with a normal
BMI during pregnancy?
A: 25 to 35 pounds (11.5 to 16 kg).
13.Q: Why is folic acid important during pregnancy, and what is the
recommended dose?
A: It helps prevent neural tube defects. The recommended dose is 400-
800 mcg daily, starting before conception.
14.Q: What is the purpose of the alpha-fetoprotein (AFP) test?
A: It screens for neural tube defects (like spina bifida) and chromosomal
abnormalities (like Down syndrome).
15.Q: What is a non-stress test (NST)?
A: A non-invasive test that monitors the fetal heart rate in response to
fetal movement. A reactive NST is a sign of fetal well-being.
16.Q: What is a contraction stress test (CST) or Oxytocin Challenge
Test (OCT)?
A: A test that evaluates the fetal heart rate response to uterine
contractions. A negative CST is a good sign.
17.Q: What is a biophysical profile (BPP)?
A: A test that combines an NST with an ultrasound to assess five fetal
biophysical variables: breathing movements, body movements, muscle
tone, amniotic fluid volume, and heart rate reactivity.
, 18.Q: What is the danger of a pregnant woman contracting rubella?
A: It can cause congenital rubella syndrome, leading to severe birth
defects like deafness, cataracts, and heart defects.
19.Q: What is supine hypotensive syndrome?
A: When a pregnant woman lies on her back, the weight of the uterus
compresses the inferior vena cava, decreasing venous return and causing
hypotension, dizziness, and fetal distress.
20.Q: What is the nursing intervention for supine hypotensive
syndrome?
A: Turn the woman onto her left side to relieve pressure on the vena
cava.
21.Q: What are Braxton Hicks contractions?
A: Irregular, painless, and ineffective uterine contractions that can occur
throughout pregnancy.
22.Q: What is the difference between morning sickness and
Hyperemesis Gravidarum?
A: Hyperemesis Gravidarum is severe, persistent nausea and vomiting
during pregnancy that leads to dehydration, weight loss, and electrolyte
imbalances.
23.Q: What is a miscarriage?
A: The spontaneous loss of a pregnancy before 20 weeks gestation.
24.Q: What is an ectopic pregnancy?
A: A pregnancy that implants outside the uterine cavity, most commonly
in a fallopian tube.
25.Q: What are the classic signs of an ectopic pregnancy?
A: Unilateral lower abdominal pain, delayed menses, and vaginal
bleeding.
26.Q: What is placenta previa?
A: A condition where the placenta implants in the lower uterine segment,
partially or completely covering the cervical os.
27.Q: What is the classic sign of placenta previa?
A: Painless, bright red vaginal bleeding in the second or third trimester.
28.Q: What is abruptio placentae?
A: The premature separation of a normally implanted placenta from the
uterine wall after 20 weeks gestation.
